*1.What is your contact information?(Required.)

Full Name (First & Last) *

Address *

Address 2 (Apartment Number)

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

*2.Are you a certified teacher?(Required.)

Yes

No

College Student

*3.Have you worked with CTA in the past?(Required.)

Yes

No

*4.What is your current employed status (Check all that apply)?(Required.)

Retired educational teacher

Employed by district

None of the above

*5.If you are retired what was your former administrative role (Check all that apply)?(Required.)

Principal

Instructional Coach

Curriculum Specialist

In-school teacher

Instructional aid

None of the above

*6.Which instructional delivery method do you have experience with (Check all that apply)?(Required.)

Remote

In-person

*7.Select available instructional times (Check all that apply)(Required.)

After school (Up to 6:00 pm)

Before School

During the day (10:00 am - 2:00pm)

*8.What grades are you qualified to teach?(Required.)

Elementary School (K-5)

Middle School (6-8)

High School (9-12)

*9.Which subject area(s) are you qualified to teach? (Check all that apply)(Required.)

ELA

Math

Science

STEM

Other

*10.Which school district are you currently employed?(Required.)

Wayne County Pubilc Schools (WCPS)

Charlotte Mecklenburg Schools (CMS)

Winston-Salem/Forsyth County Schools (WS/FCS)

Seminole County Public Schools (SCPS)

Prince George's County Public Schools (PGCPS)

Other

*11.Which of the following school districts would you like to join our team at their respective school sites?(Required.)

Seminole County Public Schools (SCPS)

Prince George's County Public Schools (PGCPS)

Winston-Salem/Forsyth County Public Schools (WS/FCS)

Charlotte Mecklenburg Public Schools (CMS)

Wayne County Public Schools (WCPS)

None of the above

*12.How did you hear about working for us?(Required.)

Company website

CTA flyer

Word-of-mouth

Other (please specify)

*13.What inspires you to do tutoring?(Required.)